Job Application Form

Please be aware that all application forms must be submitted by midnight on the closing date of the job. We are unable to accept any applications received after this.

POSITION INFORMATION

Position applied for
Reference number
Where did you see the job advertised?

PERSONAL INFORMATION

Title
First name
Last name
Middle name
Address
Post code
Preferred telephone number
Alternative telephone number
Email address

WORKING IN THE UK

Are you eligible to work in the UK? / Yes No
Do you need a work permit or sponsorship certificate to work in the UK? / Yes No
If Yes, please clarify your status:
Do you require further leave to remain? / Yes No
National Insurance Number


CURRENT (OR MOST RECENT) EMPLOYMENT

Please start with your most recent/current employment:

Employer’s name
Full address (including postcode)
Telephone number
Post held
Current (or most recent) salary
Dates / from to
Leaving date or notice required
Brief outline of duties and responsibilities
Reason for leaving

PREVIOUS EMPLOYMENT

Starting with your most recent job, paid/unpaid, please list employment providing all the details requested. It is important that you include periods of unemployment, and which office you may have received benefits from. If you have been self employed you will need to provide proof.

Employer’s name
Full address (including postcode)
Telephone number
Post held
Salary
Dates / from to
Brief outline of duties and responsibilities
Reason for leaving
Employer’s name
Full address (including postcode)
Telephone number
Post held
Salary
Dates / from to
Brief outline of duties and responsibilities
Reason for leaving
Employer’s name
Full address (including postcode)
Telephone number
Post held
Salary
Dates / from to
Brief outline of duties and responsibilities
Reason for leaving

EMPLOYMENT GAPS

Please provide details of any gaps in your employment history – with dates

Dates
from:
to: / Reasons
Dates
from:
to: / Reasons
Dates
from:
to: / Reasons

REFEREES

CURRENT REFEREE

Please provide details of your most recent employer or educational institution, from whom we can obtain a current reference.

Referee's name
Referee's position
Address (including postcode)
Email
Telephone number
Your relationship to the referee

REFEREE FROM PREVIOUS EMPLOYMENT

Referee's name
Referee's position
Address (including postcode)
Email
Telephone number
Your relationship to the referee

PREVIOUSLY EMPLOYED BY HOMES FOR HARINGEY

If you have been previously employed by Homes for Haringey, please complete this section.

Post held
Dates / from to
Location
Line manager

QUALIFICATIONS AND TRAINING

Please give details of any further education or training that you have received, which supports your application. Include any on the job training as well as formal courses.

SECONDARY EDUCATION

Name of school/college/university/ other
Dates / from to
Address (including postcode)
Qualifications, academic awards and grades obtained
Name of school/college/university/ other
Dates / from to
Address (including postcode)
Qualifications, academic awards and grades obtained
Name of school/college/university/ other
Dates / from to
Address (including postcode)
Qualifications, academic awards and grades obtained


QUALIFICATIONS & TRAINING WITH GRADES OBTAINED (IF APPLICABLE)

Name of professional body
Membership grade and number
Qualifications, academic awards and date obtained
Name of professional body
Membership grade and number
Qualifications, academic awards and date obtained

PROFESSIONAL QUALIFICATIONS/REGISTRATIONS (E.G. GSCC, DFES)

Name of professional body
Membership grade and number
Date obtained
Name of professional body
Membership grade and number
Date obtained


DECLARATION

Rehabilitation of Offenders Act 1974

If the job that you are applying for involves working with or has access to children or vulnerable adults or their records, we will require an enhanced Disclosure from the Criminal Records Bureau and need to have information from you regarding any previous, existing or pending convictions or cautions. The advert and/or job description will state that the job is exempt from the Rehabilitation of Offenders Act.

If you are applying for such a job, you are not entitled to withhold information even if you have convictions, which would normally be considered to be “spent”.

Please answer Q1 and Q2 below:

Q1. Have you ever been convicted of a criminal offence?

Yes No

Q2. Have you ever been disqualified from working with children or vulnerable adults?

Yes No

If you fail to disclose any criminal convictions or cautions, including those “spent”, it could result in withdrawal of the job offer, dismissal or disciplinary action by Homes for Haringey.

You may be asked to provide details to the panel if selected for interview. Possession of a conviction or caution will not necessarily mean that you won’t be appointed, each case is considered on its merits.

Interview Guarantee Scheme

Homes for Haringey offer a guaranteed interview for those candidates who are considered disabled and meet the essential criteria for the job. They will be interviewed alongside other short listed candidates and the final appointment, nevertheless, will be on merit.

The Equality Act 2010 (Disability) Regulations 2010 defines a disability as follows: a person has a disability if she/he has a physical or mental impairment which has a substantial and long-term adverse affect to his/her ability to carry out normal day to day activities.

·  Do you wish to take advantage of the Guaranteed Interview Scheme?

Yes No

·  Do you require any adjustments to be made in respect of the recruitment process?

Yes No

If yes, please provide further information below:


Relationships

Are you related to, or have a close personal relationship with any employee of Homes for Haringey or Haringey Council, any Councillor or Homes for Haringey Board Member?

Yes No

If YES, please state their name and the position they hold:

Name: / Position held:
Name: / Position held:

Canvassing of employees or councillors directly or indirectly will disqualify candidates from appointment.


SUPPORTING STATEMENT AND ACHIEVEMENTS

Please use this space to tell us how you meet each of the points on the Candidate Specification – you will find it useful to refer to the Guidance Notes to help you complete this part of the form. We need to have this information in order to consider your application.

If you run out of space, please continue on additional sheets, for example using Microsoft Word and submit these as a separate attachment with your application (make sure your name is on all additional sheets).


Data Protection

Homes for Haringey is under a duty to protect the public funds that it administers and to this end may use the information you have provided in your application within Homes for Haringey for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes. I will declare to Homes for Haringey, if appointed, of any intention to carry out work for another employer or on a self employed basis.

Homes for Haringey tries to keep information held about you accurate and up-to-date. However, if you find any inaccuracies you have the right to have them corrected.

I understand that providing misleading or false information/qualifications will disqualify me from appointment or if appointed, may lead to disciplinary action and dismissal.

I authorise Homes for haringey to check the information supplied and hold all such information in both paper and electronic formats.

Homes for Haringey intends to fulfil all its obligations under the Data Protection Act 1998 (the Act). Homes for Haringey will ensure that all the processing of data falling within the scope of the Act is appropriately notified to the Information Commissioner. Individuals whose information is held and processed by Homes for Haringey can be assured the information will be maintained in confidence and treated with all due care.

Declaration

Signature:
or
email address: / Date:

I understand that by providing my name or email address, I confirm that I have read, understood and agreed to the above.

Please submit your application by the closing date to:

Human Resources

4th Floor

48 Station Road

London

Wood Green

N22 7TY

Or by email to:

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